The Effect of Combination Therapy Using Li-ESWT and PDE-5 Inhibitor in Patients With Erectile Dysfunction

The Effect of Combination Therapy Using Li-ESWT (Low Intensity Extracorporeal Shockwave Therapy) and PDE-5 Inhibitor in Patients With Erectile Dysfunction

to compare the effect of combination of li-eswt and pde-5 inhibitor to pde-5 alone in erectile dysfunction patients

Comparing the effect of Combination therapy (Li-ESWT combined with PDE5-inhibitor) vs SIngle therapy (PDE5-inhibitor) in mild to moderate Erectile Dysfunction patients.

Parameters used for comparation are EHS score, IIEF-5 score, VEGF level and PSV

Inclusion Criteria:

• Mild to Moderate Erectile dysfunction
• Married
• Sexually active
• Consenting to participate in the trial

Exclusion Criteria:

• Psychological problems
• Spinal injury
• History of malignancy
• Penile anatomy abnormalities
• Allergic and Contraindications to tadalafil
• On anti-mitotic drugs